Individual
MATTHEW JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
2950 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-2263
(505) 262-1745
(505) 262-9324
Mailing address
7124 DELLWOOD RD NE, ALBUQUERQUE, NM 87110-2205
(505) 480-7252
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007503
NM
Other
Enumeration date
08/12/2010
Last updated
12/19/2022
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